MRS. JEAN WINIFRED CRANDALL I (NPI# 1396971339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396971339 |
| Entity Type | Individual |
| Full Name | MRS. JEAN WINIFRED CRANDALL I |
| Credential | ANP |
| Practice Address |
10 Clark Rd Goshen NY 10924-5708 |
| Practice Telephone | 8456511483 |
| Practice Fax Number | 8456511487 |
| Mailing Telephone | 8456511483 |
| Mailing Fax Number | 8456511487 |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2009-06-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
26NJ00042900 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F300830 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10 CLARK RD |
| City | GOSHEN |
| State | NY |
| Zip Code | 10924-5708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487127239 | Yessica Amadis | Counselor | 27 Matthews Street, Goshen, NY 10924 | 2019-01-04 |
| 1649752668 | Lucinda Figueroa | Social Worker | Orange Intensive Day Treatment @ Ouboces Ah Ed Center, 4 Harriman Drive, Goshen, NY 10924 | 2018-09-06 |
| 1619499365 | Grace Catherine Stieh | Speech-Language Pathologist | 1997 Ny-17m #9, Goshen, NY 10924 | 2017-07-14 |
| 1255738902 | Linda S. Miller | Behavioral Analyst | 60 Erie Street #6, Suite 304, Goshen, NY 10924 | 2014-11-24 |
| 1275963894 | Ellen Martin | Speech-Language Pathologist | 9a Maplewood Terrace, Goshen, NY 10924 | 2013-11-18 |
| 1578803854 | Shirley Johnson | Social Worker | 3 Hatfield Lane Valley Behavioral Medicine, Suite 1, Goshen, NY 10924 | 2013-02-22 |
| 1689933566 | Gloria Sanabria | Licensed Practical Nurse | 252 Main St., Wellness Home Care, Goshen, NY 10924 | 2012-05-11 |
| 1780955377 | Karen Ann Walczak | Registered Nurse | 56 Gibson Rd., Goshen, NY 10924 | 2012-01-13 |
| 1699067884 | Cherie Lee Meci | Occupational Therapy Assistant | 52 Gibson Rd., Rcce, Goshen, NY 10924 | 2011-05-06 |
| 1053617597 | James Francis Kohut | Social Worker | Rcpc 53 Gibson Road, Goshen, NY 10924 | 2011-02-01 |
| Find all providers in zip 10924 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144290164 | Carmen Burgos | Nurse Practitioner | 110 Wells Farm Rd, Goshen, NY 10924-6740 | 2006-01-23 |
| 1013244730 | Erin Botti | Nurse Practitioner | 1 Hatfield Ln Ste 1b, Goshen, NY 10924-6753 | 2009-11-17 |
| 1578797304 | Diane Teresa White | Nurse Practitioner | 1700 S Main St, Goshen, IN 46526-4724 | 2009-05-07 |
| 1982872743 | Laureen A Feller | Nurse Practitioner | 30 Hatfield Ln, Ste 101, Goshen, NY 10924-6766 | 2008-02-14 |
| 1992825632 | Ourania Walraven | Nurse Practitioner | 70 Hatfield Ln, Suite 203, Goshen, NY 10924-6734 | 2007-03-29 |
| 1003902248 | Ingrid Kay Bowser | Nurse Practitioner | 200 High Park Ave, Goshen, IN 46526-4810 | 2006-10-05 |
| 1376514380 | Deborah L. Gunden | Nurse Practitioner | 2240 Karisa Dr, Suite 1, Goshen, IN 46526-6943 | 2006-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427871 | Tammie Kae Copp | Nurse Practitioner | 8266 Casson Rd, Lindley, NY 14858-9697 | 2020-11-08 |
| 1770184673 | Annette Virosami | Nurse Practitioner | 890 Trinity Ave Apt 8d, Bronx, NY 10456-7419 | 2020-11-06 |
| 1972104958 | Jonathan Dillera Nietes | Nurse Practitioner | 4411 Macnish St Apt 1g, Elmhurst, NY 11373-3609 | 2020-11-05 |
| 1407457088 | Sanjana Kumari | Nurse Practitioner | 62 Albertson Pl, Mineola, NY 11501-4601 | 2020-11-02 |
| 1780284927 | Hannah Catan | Nurse Practitioner | 473 W 158th St Apt 10, New York, NY 10032-5361 | 2020-10-27 |
| 1700486248 | Amandeep Kaur | Nurse Practitioner | 7638 270th St, New Hyde Park, NY 11040-1418 | 2020-10-26 |
| 1861091324 | Stacey M Jantsch | Nurse Practitioner | 8237 Cicero Mills Rd, Cicero, NY 13039-8344 | 2020-10-25 |
| 1871192468 | Adult Health Np House Calls, PC | Nurse Practitioner | 7954 Transit Rd # 134, Williamsville, NY 14221-4117 | 2020-10-23 |
| 1104425891 | Tze-hsuan Chao | Nurse Practitioner | 3916 Prince St Ste 257, Flushing, NY 11354-5367 | 2020-10-22 |
| 1992304968 | Nicholas Robinson | Nurse Practitioner | 295 Essjay, Williamsville, NY 14221 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.